膀胱肿瘤膀胱全切后,低压可控回肠新膀胱已成为近年来尿流改道的主要手术方法之一。我科自1991年6月至1992年5月,根据14例膀胱全切,回肠新膀胱术的特点进行护理,积累了一定的经验,找出一些护理中应注意的问题。临床资料本组14例均为男性,年龄52—72岁,平均58岁。因初发或复发性膀胱肿瘤做了膀胱全切,回肠新膀胱术。手术方式采用逆行切除前列腺及全膀胱,距回盲部20cm,游离50—60cm回肠段,U型或W型制作成肠袋,肠袋一端与输尿管套叠吻合成乳头,另一端与膜部上方之尿道吻合,留置双根输尿管支 Bladder tumor bladder resection, low pressure control Ileal neo-bladder has become one of the main surgical methods of urinary diversion in recent years. Our department from June 1991 to May 1992, according to 14 cases of full-bladder resection, ileal neo-bladder surgery characteristics of care, accumulated some experience, to find some care should pay attention to the problem. Clinical data The group of 14 patients were male, aged 52-72 years, mean 58 years. Due to initial or recurrent bladder cancer done a total bladder resection, ileal neo-bladder surgery. Surgical approach using retrograde resection of the prostate and the whole bladder, from the ileocecal 20cm, free 50-60cm ileum segment, U-shaped or W-made intestinal bag, one end of the intestinal bag and ureter nested anastomosis into the nipple, and the other end of the membrane above The urethral anastomosis, indwelling double root ureteral branch